Ntx 360 Care - Medicare Primary Care in Arlington, TX

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Ntx 360 Care is a medicare enrolled primary clinic (Internal Medicine) in Arlington, Texas. The current practice location for Ntx 360 Care is 4381 W Green Oaks Blvd Ste 103, Arlington, Texas. For appointments, you can reach them via phone at (817) 200-4469. The mailing address for Ntx 360 Care is Po Box 150569, Arlington, Texas and phone number is (682) 302-0306.

Ntx 360 Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1962156802. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (817) 200-4469.

Contact Information

Ntx 360 Care
4381 W Green Oaks Blvd Ste 103
Arlington
TX 76016-4495
(817) 200-4469
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameNtx 360 Care
SpecialityInternal Medicine
Location4381 W Green Oaks Blvd Ste 103, Arlington, Texas
Authorized Official Name and PositionTodd L Petelski (OWNER)
Authorized Official Contact8172004469
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ntx 360 Care
Po Box 150569
Arlington
TX 76015-6569

Ph: (682) 302-0306		Ntx 360 Care
4381 W Green Oaks Blvd Ste 103
Arlington
TX 76016-4495

Ph: (817) 200-4469

NPI Details:

NPI Number1962156802
Provider Enumeration Date02/09/2022
Last Update Date09/28/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6901290543
Medicare Enrollment IDO20220225000348

Medical Identifiers

Medical identifiers for Ntx 360 Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962156802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ntx 360 Care acts as a billing entity for following providers:
Provider NameCarley Day Stiglets
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528000122
PECOS PAC ID: 4486635257
Enrollment ID: I20040527000270
Provider NameLara O Cline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861437790
PECOS PAC ID: 0244258317
Enrollment ID: I20051107001035
Provider NameRhea Jean Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033303680
PECOS PAC ID: 3577643345
Enrollment ID: I20080107000481
Provider NameJulia K Beshears
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124266275
PECOS PAC ID: 0840349833
Enrollment ID: I20090521000485
Provider NameRose M Julian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235364530
PECOS PAC ID: 4981757416
Enrollment ID: I20090731000396
Provider NameJulie A Lyons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750326583
PECOS PAC ID: 5092847459
Enrollment ID: I20100720000874
Provider NameKen Park
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316980295
PECOS PAC ID: 2466582028
Enrollment ID: I20111215000787
Provider NameClara L Lobo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699071464
PECOS PAC ID: 2466613898
Enrollment ID: I20120412000090
Provider NameAmy S Holder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619373362
PECOS PAC ID: 4183949266
Enrollment ID: I20150212000617
Provider NameAleah E Pace
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1134586738
PECOS PAC ID: 5698108694
Enrollment ID: I20191205001142
Provider NameJazmine Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659755429
PECOS PAC ID: 4284942962
Enrollment ID: I20191226001288
Provider NameAmber R Snider
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285264515
PECOS PAC ID: 5092142075
Enrollment ID: I20200304001309
Provider NameTahir Khwaja
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1881804938
PECOS PAC ID: 5092844928
Enrollment ID: I20200316000816
Provider NameHeather Elaine Hughes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043839525
PECOS PAC ID: 0143651281
Enrollment ID: I20200506000116
Provider NameKanita Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689216566
PECOS PAC ID: 8224441068
Enrollment ID: I20210115000743
Provider NameCindy L Bernard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285240077
PECOS PAC ID: 6305253253
Enrollment ID: I20210322001247
Provider NameJason L Willis
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1679603153
PECOS PAC ID: 8921043019
Enrollment ID: I20210806000476
Provider NameAhmad Elzein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932706025
PECOS PAC ID: 9335543347
Enrollment ID: I20210812000155
Provider NameMark Anthony Rodriguez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437894409
PECOS PAC ID: 5799163119
Enrollment ID: I20220525002387
Provider NameStergios Zissis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083211726
PECOS PAC ID: 3274945266
Enrollment ID: I20221004000125
Provider NameEmery Chapa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114635729
PECOS PAC ID: 1658743513
Enrollment ID: I20230202002529
Provider NameNada Ali Al-yafai
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1710519632
PECOS PAC ID: 6002285822
Enrollment ID: I20230510000772
Provider NameLeah Margaret Akuka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831877018
PECOS PAC ID: 5496109894
Enrollment ID: I20231003001887
Provider NameShalisa D Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588441752
PECOS PAC ID: 7719333285
Enrollment ID: I20231020000322
Provider NameAnn Nnenna Ugbeme
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851906960
PECOS PAC ID: 5799121232
Enrollment ID: I20240307000561
Provider NameTracy Nicole Hinton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184401069
PECOS PAC ID: 4688822653
Enrollment ID: I20240423001799
Provider NameNatasha Anastasia Braley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962113415
PECOS PAC ID: 0749620227
Enrollment ID: I20240501000899

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.